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NPI Code Detail

MEDICARE: ALEXANDRA SEAMAN PA

MEDICARE: ALEXANDRA SEAMAN PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1538893276
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA SEAMAN PA
Provider Business Mailing Address
First Line : 633 N 4TH ST
Second Line :
City : BOISE
State : ID
Zip : 83702-4510
Country : US
Telephone Number : 208-342-9800
Fax Number : 208-342-4223
Provider Business Practice Location Address
First Line : 633 N 4TH ST
Second Line :
City : BOISE
State : ID
Zip : 83702-4510
Country : US
Telephone Number : 208-342-9800
Fax Number : 208-342-4223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2022
Last Update Date : 09/26/2022

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Directions to “ ALEXANDRA SEAMAN PA” Practice Location

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